NPIMap

Organization Active NPI

Changes Counseling of Hartland, LLC

  • Professional Counselor
  • Clarkston, MI
National Provider Identifier
1669047650
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHANGES COUNSELING OF HARTLAND, LLC
Practice address
5730 Bella Rosa Blvd Ste 500
Clarkston, MI 48348-4779
Phone
(215) 581-8880
Fax
(248) 297-5968
NPI assigned
May 24, 2021
Organization subpart
Yes
Parent organization
CHANGES COUNSELING OF HARTLAND LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristy R Ronald, LPCNPI 1174875843
Title
Owner
Phone
(215) 581-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5730 Bella Rosa Blvd Ste 500
Clarkston, MI 48348-4779

Mailing address

5730 Bella Rosa Blvd Ste 500
Clarkston, MI 48348-4779
Phone (215) 581-8880

Other names 1

  • Changes Counseling of Clarkston Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@changescounselingofclarkston.com Direct

National Provider Directory

National Provider Directory
Part of
Changes Counseling of Hartland LLC

Locations

5730 Bella Rosa Blvd
Ste 500
Clarkston, MI 48348
Phone (215) 581-8880

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1669047650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BELLA ROSA BLVD STE 500",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484779",
            "telephone_number": "215-581-8880",
            "fax_number": "248-297-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BELLA ROSA BLVD STE 500",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484779",
            "telephone_number": "215-581-8880",
            "fax_number": "248-297-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES COUNSELING OF HARTLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANGES COUNSELING OF HARTLAND LLC",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "RONALD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-581-8880",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@changescounselingofclarkston.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail",
            "address_1": "5730 Bella Rosa Blvd Ste 500",
            "city": "Clarkston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483484779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Changes Counseling of Clarkston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.